TE 5 - Pesticide Sheet.pdf

This is a Pesticide Application Record Sheet (Technical Exhibit #4, Form CEMVR 55-1c) used by the Corps of Engineers, Mississippi Valley, Rock Island District. The form serves as both an anticipated usage request and actual usage report for pesticide applications at Saylorville Lake.

The form captures essential pesticide application details including target pest, site description, pesticide trade name, manufacturer, EPA registration information, and formulation type (liquid or granular). For actual usage reporting, it documents application date/time, application method, applicator information, weather conditions (wind speed, direction, temperature, humidity), and soil conditions. The form requires specification of total area treated and amount of pesticide used, with additional fields for application rates and mixing ratios (1 gallon/50 gallons water). This technical exhibit appears to be part of the documentation requirements for the Saylorville Lake Mowing and Trimming contract solicitation W912EK25QA001.